Providence Healthcare Inc
Providence Healthcare Inc is an Orthopaedic Surgery Physician in Marina del Rey, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13160 Mindanao WayMarina del Rey, CA 90292-6358
Phone: (310) 437-7923
Fax: (310) 561-1927
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence G056259 (CA) |
|---|
Record details
| NPI number | 1760984033 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dean Matsuda — President · (310) 963-0994 |
| NPI enumerated | March 2, 2018 |
| Last updated in NPPES | March 2, 2018 |
| Mailing address | 214 Main St, El Segundo, CA 90245-3803 |
Other providers in Marina del Rey
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Mohsin Fidai MD Inc
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Orthopaedic Qualified Medical Evaluators
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Dr. Antoine Roberts, MD
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Dr. Steven Shimoyama, MD
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Louis James Volpicelli, MD
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Dr. Eleby Rudolph Washington III, MD
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